Heights University Hospital

All Charges

Charge

Type

Setting

Price

TILDA LEAD R53

Facility

$2,125.00

Service Code	HCPCS C1898
Hospital Charge Code	270662058
Hospital Revenue Code	278
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$637.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

TILDA R45 RIGHT ATRIAL LEAD

Facility

$2,125.00

Service Code	HCPCS C1898
Hospital Charge Code	270663696
Hospital Revenue Code	275
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$1,062.50
Rate for Payer: Aetna Commercial	$637.50
Rate for Payer: Aetna Medicare Advantage	$637.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$541.88
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$541.88
Rate for Payer: Cigna Commercial	$1,062.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

TILDA R45 RIGHT ATRIAL LEAD

Facility

$2,125.00

Service Code	HCPCS C1898
Hospital Charge Code	270663696
Hospital Revenue Code	275
Min. Negotiated Rate	$318.75
Max. Negotiated Rate	$514.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$425.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$514.25
Rate for Payer: Qualcare PPO/HMO/WC	$318.75

TI LIFE ANT LORD CERV CAGE SM

Facility

$19,975.00

Hospital Charge Code	270702199
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

TI LIFE ANT LORD CERV CAGE SM

Facility

$19,975.00

Hospital Charge Code	270702199
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$4,833.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

TI LIFE ANT LORDOTIC CERV CAGE

Facility

$19,975.00

Hospital Charge Code	270702219
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$4,833.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

TI LIFE ANT LORDOTIC CERV CAGE

Facility

$19,975.00

Hospital Charge Code	270702205
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$4,833.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

TI LIFE ANT LORDOTIC CERV CAGE

Facility

$19,975.00

Hospital Charge Code	270702205
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

TI LIFE ANT LORDOTIC CERV CAGE

Facility

$19,975.00

Hospital Charge Code	270702219
Hospital Revenue Code	278
Min. Negotiated Rate	$2,996.25
Max. Negotiated Rate	$9,987.50
Rate for Payer: Aetna Commercial	$5,992.50
Rate for Payer: Aetna Medicare Advantage	$5,992.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$5,093.62
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$3,995.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$5,093.62
Rate for Payer: Cigna Commercial	$9,987.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4,833.95
Rate for Payer: Qualcare PPO/HMO/WC	$2,996.25

TILT TABLE EVAL

Facility

$1,235.00

Service Code	HCPCS 93660
Hospital Charge Code	366893660
Hospital Revenue Code	482
Min. Negotiated Rate	$160.55
Max. Negotiated Rate	$3,188.00
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$370.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$314.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$314.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$314.93
Rate for Payer: Cigna Commercial	$888.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.55
Rate for Payer: Oxford Commercial	$2,807.00
Rate for Payer: Qualcare PPO/HMO/WC	$185.25
Rate for Payer: UnitedHealthcare Commercial	$3,188.00

TILT TABLE EVAL

Facility

$1,235.00

Service Code	HCPCS 93660
Hospital Charge Code	366893660
Hospital Revenue Code	482
Min. Negotiated Rate	$185.25
Max. Negotiated Rate	$185.25
Rate for Payer: Qualcare PPO/HMO/WC	$185.25

TILT TABLE EVAL

Facility

$1,235.00

Service Code	HCPCS 93660
Hospital Charge Code	7411249
Hospital Revenue Code	482
Min. Negotiated Rate	$185.25
Max. Negotiated Rate	$185.25
Rate for Payer: Qualcare PPO/HMO/WC	$185.25

TILT TABLE EVAL

Facility

$1,235.00

Service Code	HCPCS 93660
Hospital Charge Code	7411249
Hospital Revenue Code	482
Min. Negotiated Rate	$160.55
Max. Negotiated Rate	$3,188.00
Rate for Payer: Aetna Commercial	$370.50
Rate for Payer: Aetna Medicare Advantage	$370.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$314.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$314.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$660.10
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$314.93
Rate for Payer: Cigna Commercial	$888.63
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$160.55
Rate for Payer: Oxford Commercial	$2,807.00
Rate for Payer: Qualcare PPO/HMO/WC	$185.25
Rate for Payer: UnitedHealthcare Commercial	$3,188.00

TIMENTIN/3.1GM

Facility

$86.00

Hospital Charge Code	60634030
Hospital Revenue Code	250
Min. Negotiated Rate	$11.18
Max. Negotiated Rate	$43.00
Rate for Payer: Aetna Commercial	$25.80
Rate for Payer: Aetna Medicare Advantage	$25.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.93
Rate for Payer: Cigna Commercial	$43.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.18
Rate for Payer: Oxford Commercial	$43.00
Rate for Payer: Qualcare PPO/HMO/WC	$12.90
Rate for Payer: UnitedHealthcare Commercial	$43.00

TIMENTIN/3.1GM

Facility

$86.00

Hospital Charge Code	60634030
Hospital Revenue Code	250
Min. Negotiated Rate	$12.90
Max. Negotiated Rate	$12.90
Rate for Payer: Qualcare PPO/HMO/WC	$12.90

TIMENTIN/3.1GM

Facility

$75.00

Hospital Charge Code	60634031
Hospital Revenue Code	250
Min. Negotiated Rate	$11.25
Max. Negotiated Rate	$11.25
Rate for Payer: Qualcare PPO/HMO/WC	$11.25

TIMENTIN/3.1GM

Facility

$75.00

Hospital Charge Code	60634031
Hospital Revenue Code	250
Min. Negotiated Rate	$9.75
Max. Negotiated Rate	$37.50
Rate for Payer: Aetna Commercial	$22.50
Rate for Payer: Aetna Medicare Advantage	$22.50
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$19.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$19.12
Rate for Payer: Cigna Commercial	$37.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$9.75
Rate for Payer: Oxford Commercial	$37.50
Rate for Payer: Qualcare PPO/HMO/WC	$11.25
Rate for Payer: UnitedHealthcare Commercial	$37.50

TIMENTIN 3.1GM/100ML

Facility

$90.00

Hospital Charge Code	60635030
Hospital Revenue Code	250
Min. Negotiated Rate	$13.50
Max. Negotiated Rate	$13.50
Rate for Payer: Qualcare PPO/HMO/WC	$13.50

TIMENTIN 3.1GM/100ML

Facility

$90.00

Hospital Charge Code	60635030
Hospital Revenue Code	250
Min. Negotiated Rate	$11.70
Max. Negotiated Rate	$45.00
Rate for Payer: Aetna Commercial	$27.00
Rate for Payer: Aetna Medicare Advantage	$27.00
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$22.95
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$22.95
Rate for Payer: Cigna Commercial	$45.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$11.70
Rate for Payer: Oxford Commercial	$45.00
Rate for Payer: Qualcare PPO/HMO/WC	$13.50
Rate for Payer: UnitedHealthcare Commercial	$45.00

TIMENTIN ADDVANTAGE/3.1G

Facility

$61.00

Hospital Charge Code	60634463
Hospital Revenue Code	250
Min. Negotiated Rate	$7.93
Max. Negotiated Rate	$30.50
Rate for Payer: Aetna Commercial	$18.30
Rate for Payer: Aetna Medicare Advantage	$18.30
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$15.55
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$15.55
Rate for Payer: Cigna Commercial	$30.50
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$7.93
Rate for Payer: Oxford Commercial	$30.50
Rate for Payer: Qualcare PPO/HMO/WC	$9.15
Rate for Payer: UnitedHealthcare Commercial	$30.50

TIMENTIN ADDVANTAGE/3.1G

Facility

$61.00

Hospital Charge Code	60634463
Hospital Revenue Code	250
Min. Negotiated Rate	$9.15
Max. Negotiated Rate	$9.15
Rate for Payer: Qualcare PPO/HMO/WC	$9.15

TI-MESH 4 X 6-HERNIA

Facility

$162.00

Hospital Charge Code	270338793
Hospital Revenue Code	278
Min. Negotiated Rate	$24.30
Max. Negotiated Rate	$81.00
Rate for Payer: Aetna Commercial	$48.60
Rate for Payer: Aetna Medicare Advantage	$48.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$41.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$41.31
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$41.31
Rate for Payer: Cigna Commercial	$81.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.20
Rate for Payer: Qualcare PPO/HMO/WC	$24.30

TI-MESH 4 X 6-HERNIA

Facility

$162.00

Hospital Charge Code	270338793
Hospital Revenue Code	278
Min. Negotiated Rate	$24.30
Max. Negotiated Rate	$39.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$32.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$39.20
Rate for Payer: Qualcare PPO/HMO/WC	$24.30

TI-MESH 6 X 6 -HERNIA

Facility

$182.00

Hospital Charge Code	270338794
Hospital Revenue Code	278
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$44.04
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.40
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.04
Rate for Payer: Qualcare PPO/HMO/WC	$27.30

TI-MESH 6 X 6 -HERNIA

Facility

$182.00

Hospital Charge Code	270338794
Hospital Revenue Code	278
Min. Negotiated Rate	$27.30
Max. Negotiated Rate	$91.00
Rate for Payer: Aetna Commercial	$54.60
Rate for Payer: Aetna Medicare Advantage	$54.60
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$46.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$46.41
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) NJ Health	$36.40
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$46.41
Rate for Payer: Cigna Commercial	$91.00
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$44.04
Rate for Payer: Qualcare PPO/HMO/WC	$27.30

Know your out-of-pocket cost for care.

All Charges